Was your breast cancer misdiagnosed by a radiologist?
I am just curious. How many of you have been misdiagnosed by a radiologist. Was it on your mamo or an MRI...or something else? How many were told you did not have breast cancer when you did?
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I was misdiagnosed in the ER, I was there because of increasing back pain that was progressing into neurological symptoms, like numbness and weakness. The pain seemed to be ever increasing, from neck all the way down to tailbone and branching out.
The doctor immediately didn't take it serious, she clearly had formed an opinion before she even gave it a proper consideration that it was just some simple injury, swelling causing pressure on a nerve. Only a few spinal x-rays were ordered and even those were done in a way like it was just to appease me. I really believe that far too often the radiologists reviewing tests, aren't really looking for any/all possible things wrong because they already have a formed opinion based on what they read in the chart, so confirmation bias has them looking to prove that opinion rather than looking for any possible cause or illness. The x-rays supposedly didn't show anything worth mentioning.
I partially blame the radiologist for not looking closer but mostly the attending physician because ultimately, it was her lack of care or interest that lead to my misdiagnosis. When I mentioned how it seemed weird to have so many areas hurting and affected at once, she said yes it was odd, usually it's just one of those things, not all of them at once. That should have been a huge red flag to look further and order more tests but she was overly confident that her first thought must be correct (also I didn't have insurance) and sent me home with muscle relaxers and a week of steroids (which caused many side effects, including tachycardia that didn't go away and I still take pills to control.) Of course the "treatment" didn't actually help because the diagnosis was incorrect. Over the next few weeks all of my symptoms got worse instead of better, this was the worst part to me of the misdiagnosis, I was lead to believe that it was just some simple injury that should be getting better. I was also told to keep moving and doing everything as normal, work through the pain and make sure to exercise. Only when I would try and do all those things, I was getting injured, having increasing pain and issues. Mentally, this put a huge strain on me because I couldn't understand why I wasn't getting better but instead was getting worse. It somehow placed fault on me the patient, like it's something I was doing wrong that was keeping me ill. A few weeks after the misdiagnosis I slipped trying to get in my bed and my back hit the bed as I fell down. I could feel something bad happen in that moment, I didn't know what but it filled me with immediate fear and pain. By morning it was clear that something bad happened in the fall and an ambulance was called.
Back at the ER and they again were not taking it seriously, despite me being in so much pain that I truly felt I couldn't endure life much longer. They did another set of spinal x-rays, no other tests ordered. This time the radiologist did a proper job and noted lucency in some areas, he recommended a CT Scan but the PA didn't care about the recommendation, he was of course sure that his first impression was correct. That it was just some swelling from the fall, I was clearly young, therefore must be healthy. A doctor came in and told me I would be going home soon, they were prescribing more muscle relaxers. This, after I told them my pain was now a level 12 on a 1-10 scale.
Right after the doctor left the room the nurses changed shifts and the new nurse seemed confused as to why I was being sent home when my pain and mobility was so bad that I couldn't even get out of the bed and to a bedside commode. A few minutes later, I could hear her giving the PA a firm talking to outside the door. She said to him that I couldn't be sent home because my heart rate was sky high and I had a fever... that I needed blood work at the least. She came right back in and took blood, next thing I knew I was being taken for a CT scan. The PA came in shortly after telling me my bones were covered in lytic lesions, that it appeared I was full of cancer. The fall had fractured my vertebra because it was so weak from the cancer lesions.
It's crazy that I was minutes away from being sent home misdiagnosed for a second time, had that shift change not happened and that nurse not been keen and bold enough to stand up to the PA. Who knows what would have happened, had I been sent home that day. It wasn't a long enough delay to change much with my cancer between the first misdiagnosis but I didn't need to suffer like I did that month between and I didn't need to end up fracturing my spine. That was all because of that first ER doctor who brushed off my odd symptoms simply because I was young and assumed healthy because of that fact alone. I also find it hard to believe that nothing showed as odd on my first x-rays, especially since the second set had the radiologist recommending CT scans because of seeing the lytic lesions as lucent areas. It all leads me to being very distrustful of everyone in the medical field, I can't trust their knowledge anymore after going through all that. How can you know when you have a good or bad one treating you at the time? It's always in the back of my mind now and I distrust all they have to say.
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7 Reactions@coco46
Hi! Coco:
I am so sorry for what you've been through! Such careless mistreatments by some professional specialists is so heart-wrenching and truly unfair:(
Thank you so much for sharing your painful experiences to alert us to be our own advocate. Thank God that there are medical professionals, such as that courageously keen nurse of the new shift, who still treat their patients with kindness and compassion and thus saved your life during that second ER visit! I admire your wisdom with courage and perseverance that faced challenges head-on and overcame them all. Thanks again for sharing your experiences to help us all!
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6 ReactionsHi Coco,
My heart goes out to you. I can imagine you feel distressed, betrayed and very concerned following the misdiagnosis.
Your perseverance fortitude and self- advocacy in seeking the nurses assistance and posting your experiences are very inspiring and helpful to the on line members
I wonder if you have considered meeting with an Attorney. The ER’s dismissal of your severe pain and clear and serious medic wall issues seems very unfair and negligent and your potential litigation case might pave the way forward for more careful meducal assessments and diagnosis of all other patients.
Pain Issues
I feel that the hospital MDs and follow up Nurse(s) would be able to refer you to hospital based MD Pain Specialists. Your pain is such an important priority in your care and I believe the hospital is required to assign a MD Pain Specialist upon your request.
Stress
Many cancer patients experience Stress or Anxiety. I feel that the hospital MSW , MD and PhD Counselling specialist may be verry helpful in offering stress management and counseling’s
Red Door offers FREE support groups, Meditation, Yoga and multiple added Free online programs I feel that checking with your hospital MD Prior to any Yoga or any movement related online classes would be very important due to your Spinal issues.
Have you co sundered any Guided Imagery ? YOU TUBE - FREE guided Imagery -Belle Ruth Naperstek MSW offers Free STRESS management Guided aImagery and added tYou Tube I feel these were personally very helpful.
I hope you will be feeling more comfortable and receive Pain medication and your treatment goes well.
Best,
F.
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5 ReactionsIn addition to the suggestions above, I highly recommend Gilda's Club. It's all free, and many of the programs can be done by Zoom. They offer things like support groups, meditation, healing touch, gentle yoga, etc. If there isn't one in your immediate area, just Google the location closest to you. The only requirement is that you have to do a new member meeting (online or in person) before you can register for any of their programs. It's just an orientation. I attend things strictly online, and I have made a few friends and found wonderful support.
I'm so very sorry you're dealing with all this. I wish you all the best and am adding you to my prayer list. 💗
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3 Reactions@coco46 what you have been through is unforgivable, I have encountered this type of ER doctor with my husband and 3 days in a row he was sure he was correct. I had to elevate my objections a little and they admitted him and then was saved by another doctor.
I was just heartbroken as I read your story, when we are young, people make a lot of assumptions about health.
May I ask about your actual diagnosis, this sounds exactly like when my husband was diagnosed with multiple myeloma. Lytic lesions throughout the spine and a broken vertebrae, I remember his pain.
Do you have breast cancer? Is there a treatment plan now or are you just getting started with oncology?
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4 Reactions@auntieoakley The diagnosis was ultimately stage 4 ER+ breast cancer that had metastasized to my bones. Lesions from my skull all the way down throughout my whole skeleton but most heavily in the spine and pelvic bones. I had a lump in my breast but I always had lumps that came and went throughout my life, I didn't think much of it. I was 38 at the time of my diagnosis, not even the age where mammograms are routine.
I have been receiving treatment for 3-1/2 years now, I get injections to shut down my ovaries and I am on an AI along with CDK4/6 inhibitor. For my bones, I get zometa infusions, they were monthly for the first 3 years but now it's every other month.
I am very sorry that you and your husband have had to deal with this kind of negligence as well. It's bad enough when you are suffering with illness and pain but having medical professionals making the situation worse by not taking it serious or flat out not believing the patient is just unnecessary. Especially when pain is involved, they treat everyone like some kind of junky looking for a fix. Nevermind that I had already been suffering with very high levels of constant pain at home for many months prior to ever seeking any sort of treatment and my only other hospital visit in my life was to have an appendectomy when I was a child.
@smith777 I didn't sue the hospital, though I am sure I would have had a sufficient case. Sometimes when I rethink about it, I wish I had. Especially knowing they are likely just going on doing the same thing to other people. I did write a very lengthy letter to the hospital about it, when they sent me a survey about the treatment I received. I never heard a word from them about it, not even a letter of apology. Doctors like those who treated me so poorly, should be shamed and reprimanded when it comes to light how they treat innocent, suffering people.
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2 Reactions@coco46 I did the same with the survey. I also lodged a formal complaint with the hospital. I don’t know if anyone cared, not one person ever responded.
I am so glad that we have had Mayo in our lives. We have never encountered this at Mayo.
I am glad that you are getting care for your breast cancer. I was also in my 30’s at diagnosis, but Mets came much later after a recurrence. The good news is we are living longer and have more time with better quality than ever before.
Are you now being treated somewhere you feel you can trust to have your best interests?
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1 Reaction@coco46
That treatment of you at the ER is horrible! That doctor should have his license revoked. Even when you are not suing the hospital, you might want to write to the board of medical in your state to complain. Most of the time the board won’t revoke the license, but it might serve as a record to help future patients.
But most of all, I’m glad you finally got the treatments. I hope you tolerate them well and they are effective. Hugs.
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2 ReactionsMyoga, Yes, in retrospect I now believe that I was misdiagnosed. In ‘23, Although I had a clean regular mammogram couple of months prior. I noticed L. breast pain. Initially I thought it was due to the pressure of the mammogram. itself. The pain persisted and after a couple of months I had a Dx mammogram. Again it was negative. I remember questioning the radiation but she assured me it was negative. I t was suggested I give up coffee. I did; pain left, I eventually began 1 C regular coffee/day. My fall ‘23 & ‘24 regular screening mamos. we’re negative however 6 months later, in ‘25 I found a lump in L breast during my monthly self-exam.
It turned out to be IDC Stage 1A Grade2, for which I had a lumpectomy and one Sentinel biopsy , plus 15 radiation sessions and Letrozole for 5 yrs. (or more). I also received a very optimistic prognosis combined with my Dx onco score.
Now that I know how that cancer grows 5-10 years before we realize it, I feel it was most likely there in’23, when I first experienced pain.
While I never considered a law suit, I have stressed about what wasn’t/might be growing in my body. At the time of my post-op mammogram, I ask that it be read by a second radiologist, just to be sure, because 4 eyes are better than 2.. I was told “No” because the department only had one radiologist. Seriously? Only one! How absolutely boring of a job that must be. 8am-4pm, five days a week, looking at nothing but breast mammos, one after another. It’s easy to see why there’s errors but not understandable to the patient.
Best to you
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3 ReactionsPat, More quickly than we can imagine, radiologists will be supplanted by AI. I much rather have AI look at my mammos than some disinterested physician. How about you?
I am sorry for what you have experienced. There is a lot of sloopy medical care out there. That opinion is coming from a 69 year old physician friend who has seen his profession deteriorate. The use of paraprofessionals like PAs who now can actually diagnose conditions and prescribe Rx medicine should give all of us pause. I don’t want a “health care provider.” I want a doctor, and not a “doctor” of physician assistantship.